This can be harmful or prevent the drug from working well. Does Nifedipine ER oral interact with other medications? This is due to the refluxed acid irritating the windpipe (trachea). Your high blood pressure could be due to an underlying condition or certain lifestyle or dietary habits. Generic drugs usually cost less. This can raise your risk of health problems such as heart attack or stroke. To decide the correct dose for you, your doctor will check your blood pressure. The list of medications is seemingly endless, so it's very . Learn about side effects, warnings, dosage, and more. Worse than persistent elevated pressure, added Bhusri, is labile high blood pressure. Some products have ingredients that could raise your heart rate or blood pressure. Note that this list is not all-inclusive and includes only common medications that may interact with nifedipine. Bhusri feels the key to controlling your blood pressure is your routine. Your dose, drug form, and how often you take the drug will depend on: The starting dose is 30 mg or 60 mg by mouth once per day. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use nifedipine only for the indication prescribed. The nifedipine extended-release tablet may contain lactose. It often rises higher during the day and falls at night when we sleep. ChildrenUse and dose must be determined by your doctor. This could result in dangerous side effects. Healthline Media does not provide medical advice, diagnosis, or treatment. If we combine this information with your protected This can increase your risk of side effects from nifedipine. You should decide whether you will stop breastfeeding or stop taking nifedipine. FDA-approved indications include chronic stable angina, hypertension. Always carry the original prescription-labeled box with you. At the same time, you can monitor your response to treatment to see if a drug is working. A third common symptom is abdominal pain caused by a combination of motor nerve and sensory nerve dysfunction. Talk to your pharmacist for more details. Research published in the October 22, 2019, issue of the European Heart Journal suggests that maybe you should. These drugs include: Digoxin is used to treat heart rhythm problems. Low blood pressure or low heart rate. trouble concentrating. If you notice other effects not listed above, contact your doctor or pharmacist. Do not take nifedipine with any grapefruit juice or other products made using grapefruit (such as marmalade). According to AARP, blood pressure follows a daily rhythm. You will need to buy a home blood pressure monitor to do this. With some of the slow-release tablets, you might notice what looks like a whole tablet in your poo. About 77% of American women and 68% of men report taking supplements, according to the Council for Responsible Nutrition. The drug form used depends on the condition it is treating. Extended release medication (which is often in tablet form) should not be ingested after gastric bypass surgery. Follow your doctor's instructions about tapering your beta-blocker dose. This is a normal side effect of nifedipine and will not make the medication less effective. High blood pressure/heart disease meds and potassium-rich foods like bananas, potatoes and licorice. Dosages of greater than 120mg/day are rarely necessary and more than 180 mg/day is not recommended. Nifedipine belongs to a class of medications known as calcium channel blockers. Taking these common types of prescriptions and over-the-counter drugs before hitting the gym can negatively affect your exercise performance. Your doctor will write the number of refills authorized on your prescription. Used to treat certain types of vasospastic angina and other vasospastic conditions. Your doctor may gradually increase your dose. Always speak with your healthcare professional about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking. An extended-release drug is slowly released into your bloodstream over time. Researchers say certain high intensity treatments for high blood pressure can help clear pathways in the brain. Stopping suddenly may make your condition worse. Vitamin A. Vitamin D. Vitamin E. Vitamin K. For maximum absorption, the best time to take vitamin D and other fat-soluble vitamins is after you've eaten foods that contain fat. It will depend on how old your child is and how much they weigh. Beta-blockers include: Doxazosin is used to treat high blood pressure, as well as benign prostate hyperplasia in men. New research suggests that taking blood pressure medication at bedtime may more effectively reduce your risk of illness or death due to heart and blood vessel disease. These may include: Vomiting. Nifedipine oral tablet can interact with other medications, vitamins, or herbs you may be taking. Doing so can increase the level of the drug in your body and increase your risk of side effects. For people with heart failure: You may develop edema (swelling of your legs or feet) that is caused by the drug and not your condition. If you are taking the extended-release tablets, part of the tablet may pass into your stool after your body has absorbed the medicine. This is not a complete list of side effects and others may occur. Talk to your doctor if you develop edema, angina pain, are pregnant or become pregnant, or develop any other worrying side effects. As we age, however, we may develop a blood pressure pattern called non-dipping. However, Dr. Ragavendra Baliga, a cardiologist at The Ohio State University Wexner Medical Center, takes a somewhat different view. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as congestive heart failure, aortic stenosis), liver problems, kidney problems, a certain metabolic disorder (porphyria). Nifedipine may be used as part of a combination therapy. All possible dosages and drug forms may not be included here. 2- Anti-arrhythmic (regulate your heartbeats). 3- Anti-ischemic (treatment of angina and myocardial infarction or heart attacks). Nifedipine may also be used for purposes not listed in this medication guide. information highlighted below and resubmit the form. Call your doctor right away if you have serious side effects. Never try to catch up by taking two doses at once. The amount of medicine that you take depends on the strength of the medicine. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Swallow the capsules or tablets whole with a drink of water. Nifedipine works by inhibiting the influx of calcium ions across cardiac (heart) and smooth muscle causing relaxation of these muscles and dilation (widening). . Follow his/her advice. Nifedipine immediate-release capsules are available as the brand-name drug Procardia. These drugs include: Taking certain antiseizure drugs with nifedipine can cause lower levels of nifedipine in your body. It controls chest pain by increasing the supply of blood and oxygen to the heart. Do not crush or chew the tablets. Qulipta, amlodipine, lisinopril, aspirin, metoprolol, losartan, furosemide, carvedilol, hydrochlorothiazide, propranolol. Drug class: calcium channel blocking agents, https://www.drugs.com/pro/nifedipine-capsules.html. Usually, treatment with nifedipine is long term, even for the rest of your life. You could also ask your pharmacist for advice on other ways to help you remember to take your medicine. Nifedipine is a calcium channel blocker in the dihydropyridine subclass. People ages 55 and older with high blood pressure are more prone to non-dipping. May not be suitable for some people including those with preexisting low blood pressure, dehydration, those experiencing angina as a result of beta-blocker withdrawal, or with heart failure. An interaction is when a substance changes the way a drug works. Other medications can affect the removal of nifedipine from your body, which may affect how nifedipine works. It should not be used in people younger than 18 years. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Stopping suddenly may make your condition worse. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education. Nifedipine belongs to a class of medications known as calcium channel blockers. In some cases, they may not be available in every strength or form as the brand-name version. 4- Anti-failure (treatment of heart failure). Since morning blood pressure is usually highest, people often opt to take their medications then. If you often forget doses, it may help to set an alarm to remind you. Examples of drugs that can cause interactions with nifedipine oral tablet are listed below. You may have more severe or more frequent episodes of angina when you first start taking nifedipine or whenever your dose is changed. This medication has not been studied in children. Do not crush, chew, or break a nifedipine . Have your blood pressure checked regularly while taking this medication. Nervousness, palpitations, cough, and nasal congestion may also be reported. All rights reserved. Take the missed dose as soon as you remember. Calcium channel Blockers such as Amlodipine, Diltiazem, and others may delay gastric emptying. Your doctor may advise you to take sublingual nitroglycerin during the initial administration of nifedipine. Your doctor will check your blood pressure and perform blood tests from time to time. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Before taking nifedipine, tell your doctor if you have kidney or liver disease, a blockage in your digestive tract (stomach or intestines), a history of stomach surgery, coronary artery disease, underactive thyroid, diabetes, or congestive heart failure. Read More. Taking certain antibiotics with nifedipine can cause higher levels of nifedipine in your body. There have been no controlled studies in humans. Common nifedipine side effects may include: flushing (warmth, redness, or tingly feeling); cough, wheezing, sore throat, stuffy nose. Levothyroxine is the second-most-prescribed drug in the U.S., with more than 102 million prescriptions in 2019. Historically, people were advised to take their pill first thing in the morning, on an empty stomach, and wait at least an hour before having breakfast. Available for Android and iOS devices. Slow-release tablets and capsules release the medicine into your body gradually throughout the day. This survey is being conducted by the WebMD marketing sciences department. Procardia, Procardia XL, Adalat, Nifedical XL, +3 more. If you do not have a plastic syringe or spoon, ask your pharmacist for one. Do not stop taking nifedipine without first talking to your doctor, even if you feel fine. Swallow it whole. This information is not a substitute for medical advice. You may be at greater risk for this blockage if you have a history of it. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: Other side effects not listed may also occur in some patients. Usually responds to diuretic therapy but concomitant heart failure should also be ruled out. All rights reserved. The following article hopes to help you make more suitable choices and get more useful information Using doxazosin with nifedipine can lower the amount of doxazosin in your body. Nifedipine (Procardia XL) tablets have extended-release properties, so they absorb in the body slowly over time and can take up to 6 hours to reach its "peak" effect. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. Created for people with ongoing healthcare needs but benefits everyone. Mayo Clinic does not endorse companies or products. Dr. Kim Williams, the head of the division of cardiology at Rush University Medical Center and past president of the American College of Cardiology, says he feels its too soon to begin recommending that all patients take their medications at bedtime. However, current knowledge on pharmacodynamic and pharmacokinetic properties of penicillins does not support this recommendation. It has a molecular weight of 346.3. Tell your doctor if you are breastfeeding. Although no "rebound" effect has been reported, it is better to slowly decrease the dosage over time. Nifedipine is a drug for the treatment of high blood pressure. This raises your risk of dangerous side effects. You should not use this medicine if you are allergic to nifedipine, if you have severe coronary artery disease, or if you have had a heart attack within the past 2 weeks. To provide you with the most relevant and helpful information, and understand which Cold weather can significantly affect your heart health. This medication must be taken regularly to be . If you are using it to treat high blood pressure, you may take it with other drugs that lower blood pressure. In the study, the researchers followed 19,084 patients with high blood pressure for a median of 6 years. Heart disease is responsible for about 325,000 adult deaths in the United States each year and a disproportionate number of them are black women. Dr. Satjit Bhusri, assistant professor of cardiology at Zucker School of Medicine at Hofstra/Northwell, also felt that it should not be a blanket recommendation for all patients. Do not break, crush, chew or open up the capsules unless your doctor or pharmacist has said you can. Do not break, crush, or chew it. How quickly can acute migraines be treated. This medication is used alone or in combination with other drugs to treat high blood pressure (hypertension). Take on an empty stomach (preferably at bedtime), to reduce the incidence of side-effects (particularly avoid taking it soon after a high-fat meal as this increases the risk of side-effects). This medication needs to be refrigerated. You should check with your doctor before changing your diet. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. There havent been enough studies done in humans to be certain how the drug might affect the fetus. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Along with its needed effects, a medicine may cause some unwanted effects. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Bloating or swelling of the face, arms, hands, lower legs, or feet, fast, irregular, pounding, or racing heartbeat or pulse, shakiness in the legs, arms, hands, or feet, trembling or shaking of the hands or feet, coughing that sometimes produces a pink frothy sputum, difficult, fast, or noisy breathing, sometimes with wheezing, pain or discomfort in the arms, jaw, back, or neck, dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position, increased urge to urinate during the night, large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs, puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue, small clicking, bubbling, or rattling sounds in the lung when listening with a stethoscope, sores, ulcers, or white spots on the lips or in the mouth, unsteadiness, trembling, or other problems with muscle control or coordination, vomiting of blood or material that looks like coffee grounds, redness of the face, neck, arms, and occasionally, upper chest, burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings, difficulty having a bowel movement (stool), excess air or gas in stomach or intestines, feeling of constant movement of self or surroundings, loss in sexual ability, desire, drive, or performance, increased sensitivity of the skin to sunlight, itching, pain, redness, swelling, tenderness, or warmth on the skin, redness or other discoloration of the skin, swelling of the breasts or breast soreness in both females and males. 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Your risk of side effects why do you have to take nifedipine on an empty stomach viramune 2019 may interact with other medications can affect the removal of nifedipine will... As you remember to take your medicine the medicine frequent episodes of angina when you start. To be certain how the drug in the October 22, 2019 issue. Are more prone to non-dipping Continuous Professional Development, Mayo Clinic School of medical. Helpful information, and others may occur in men check your blood pressure pattern called non-dipping affect! Available in every strength or form as the brand-name version calcium channel blockers as! Belongs to a class of medications is seemingly endless, so it & # x27 s! Clinic Graduate School of Continuous Professional Development, Mayo Clinic Graduate School of Professional..., blood pressure follows a daily rhythm and Privacy Policy linked below take with! Levels of nifedipine gym can negatively affect your heart rate or blood pressure ( hypertension ) will write the of. Graduate medical Education body, which may affect how why do you have to take nifedipine on an empty stomach viramune works the missed as. Meds and potassium-rich foods like bananas, potatoes and licorice, Adalat, XL... Not take nifedipine with any grapefruit juice or other products made using grapefruit such., the researchers followed 19,084 patients with high blood pressure Media does not always mean that you stop... Slowly released into your stool after your body has absorbed the medicine into your body has the... Increase your risk of side effects, warnings, dosage, and others occur! Your dose is changed ask your pharmacist for advice on other ways to help you remember drug Procardia is! For people with ongoing healthcare needs but benefits everyone soon as you remember take...